Use this form for deployments for the landspreading of waste where the operator holds a permit for any of the following standard rules:
•SR2010No4 Mobile plant for landspreading (land treatment resulting in agricultural or ecological benefit);
•SR2010No5 Use of mobile plant for land reclamation, restoration or improvement of land;
•SR2010No6 Mobile plant for landspreading of sewage sludge; or a
•Bespoke mobile plant permit for landspreading or land reclamation.
Please check that this is the latest version of the form available from our website.
Please read through this form and the guidance notes that
come with it. All relevant guidance documents can be found on our website.
Where you see the term ‘document reference’ on the form, give the document references and send the documentswith the application form when you’ve completed it.
Contents
1About the permit
2About you
3Contact details
4About the deployment
5Payment
6Supporting documents
7Data Protection Act 1998
8Confidentiality and national security
9Declaration
Form: EPR Part LPD1Page 1 of 12NRW Version 2, January 2017
1 About the permit1a Discussions before your application
If you have had discussions with us before your application, give us the case reference or details on a separate sheet.
Case or document reference
1b Permit number
Permit number this application relates to
1c What type of permit do you want to deploy under? (Please tick)
SR2010No4 Mobile plant for landspreading (land treatment resulting in agricultural or ecological benefit) / ☐
SR2010No5 Use of mobile plant for land reclamation, restoration or improvement of land / ☐
SR2010No6 Mobile plant for landspreading of sewage sludge / ☐
Bespoke mobile plant permit for landspreading or reclamation, restoration or improvement of land / ☐
2 About you
Please give us details of the permit holder. For companies, the details must match Companies House.
Organisation name (if relevant)
Title
First name
Last name
Address
Postcode
Telephone - mobile
Telephone - office
Email address
If you are applying as an organisation of individuals, every partner needs to give us their details, including their title. If necessary, continue on a separate sheet and tell us the reference you have given the sheet.
Document reference
3 Contact details
Who can we talk to about your application? This can be someone acting as a consultant or ‘agent’ for you.
Title
First name
Last name
Telephone - mobile
Telephone - office
Email address
4 About the deployment
4a Multiple deployments for one area of land
You may spread more than 10 waste streams on the same area of land, provided you submit additional fully completed deployment forms listing the additional wastes. Your benefit statement must take into account the total benefit to the land of all wastes to be spread.
Is this deployment one of a batch (multiple deployments) for the same area of land?
No / ☐ / Go to section 4b
Yes / ☐ / How many deployments are in the batch?
4b Nominated competent person
4b1 / Give us details of the nominated competent person. This is the person who will be responsible for compliance with the permit for this deployment. See the guidance notes on LPD1 for further details.
Title
First name
Last name
Telephone - mobile
Telephone - office
Email address
4b2 / What evidence are you using to show the nominated competent person has suitable technical skills and knowledge to manage the activity?
An approved technical scheme / ☐ / Go to section 4b3
Documented in-house training / ☐ / You must provide evidence – see below.
You must provide evidence to show the documented in-house training meets the requirements set out in technical guidance. See the guidance notes on LPD1 for further details and give us the document reference.
Document reference / Go to section 4c
4b3 / Which approved scheme are you using to show you have the suitable technical skills and knowledge to manage your facility?
CIWM / WAMITAB / ☐ /
ESA / EU / ☐ /
4b4 / Tick to confirm you’ve included all original and continuing competence evidence. / ☐ /
4c Which risk band does the activity fall within?
Please complete Table 1 below to indicate which risk band your activity falls within. This is a combination of waste types and proximity to sensitive receptors.
Once you have selected the risk band your activity falls within, the form guidance tells you what additional information you need to send with the application.
The risk banding affects the fee you need to send with your deployment application. Seesection 6.
Table 1 – risk band
Lowerrisklocation / High risk location
Permit type / - Not in an SPZ 2, and/or
- Over500metersfrom:
•Europeansite, and/or
•Ramsar, and/or
•SSSI / - In aSource Protection Zone2, and/or
- 500meters or less from:
•Europeansite, and/or
•Ramsar, and/or
•SSSI
Youmust submit a sitespecificriskassessment.
SR2010No4 List A wastes
(Lower risk) / Low risk deployment / ☐ / Medium risk (2) deployment / ☐ /
SR2010No4 List B wastes
(Higher risk) / Medium risk (1) deployment / ☐ / High risk deployment / ☐ /
SR2010No5
(Any waste listed) / Medium risk (1) deployment / ☐ / High risk deployment / ☐ /
SR2010No6
(Any waste listed) / Medium risk (1) deployment / ☐ / High risk deployment / ☐ /
Bespoke mobile plant permit / Low risk deployment / ☐ / Medium risk deployment / ☐ / High risk deployment / ☐ /
4d Additional information on sensitive receptors
Is the deployment within an SPZ 2 and/or 500m of a European site, Ramsar or SSSI, or being made under a bespoke permit?
No / ☐ /
Yes / ☐ / You must submit a site specific risk assessment (see question 4e).
4e Site specific risk assessment
Your site specific risk assessment must show how you intend to prevent any harm to any SPZ 2, European site, Ramsar or SSSI. For more information on risk-assessment please see the accompanying guidance to LPD1 and Technical Guidance Note ‘TGN 8.01’.
Please tick a box below to indicate which type of risk-assessment you have submitted.
I have attached a site‐specific risk‐assessment as the deployment is within and SPZ 2 and/or 500m of a European site, Ramsar or SSSI.I have also addressed risks to other receptors in the risk assessment / ☐ /
I am not within an SPZ 2 and/or 500 m of a European site, Ramsar or SSSI but have addressed risks to other receptors in my benefit statement. / ☐ /
I am deploying under a bespoke permit and have attached a site‐specific risk assessment (regardless of location). / ☐ /
4f About the waste
Please list all the individual waste streams you want to spread/use under this deployment, in Table 2 below. We’ve included an example to help you.
Please note: You can only spread/use 10 waste types per deployment.
Table 2 – waste types
List of Waste code (6 digit) / Waste description / Physical form / Waste producer / Total amount being spread/used (tonnes)
e.g. / 03 03 05 / De-inked paper / Sludge / Smith’s Newsprint / 500
1 /
2 /
3 /
4 /
5 /
6 /
7 /
8 /
9 /
10 /
Total tonnage
4g About the land you want to treat
4g1 / Pleasegivedetailsofthemainaddressofthelandtobetreated.
Address
Postcode
National grid reference (12 digit)
4g2 / What type of land do you want to treat?
Agricultural land / ☐ / Please give your County/ Parish/ Holding number
Non-agricultural land / ☐ /
4h The parcels of land you want to treat
Please list all the individual areas (parcels) of land you want to include this deployment, in Table 3 below.
Please note: the total area to be treated must not be more than 50 hectares.
Table 3 – parcels of land
Field name/ number/ reference / Grid reference - centre of field (12 digit) / Waste types to be spread/used(List of Waste code) Separate using commas. / Size (hectares)
1
2
3
4
5
6
7
8
9
10
Total hectares
4i Is the permit holder the owner or occupier of the land you want to spread on/treat?
Yes / ☐ / Go to section 4k
No / ☐ / You must give us details of the land owner or occupier, below.
Organisation name (if relevant)
Title
First name
Last name
Address
Postcode
Telephone - mobile
Telephone - office
Email address
If there is more than one owner or occupant for the area covered by this deployment, you must give us details of each. Please continue on a separate sheet and tell us the reference you have given the sheet.
Document reference
4j Do you have the consent of the owner or occupier to carry out the activity?
Yes / ☐ / Go to section 4k
No / ☐ / You must tell us why you think you can carry out the activity without the consent of the occupier. Please give an explanation in the box, below. Continue on a separate sheet if needed.
Explanation
4k Previous land treatment
Has any of the land listed in Table 3 been treated with other wastes, sewage sludge, slurries or manures etc. in the last 12 months?
No / ☐ / Go to section 4l
Yes / ☐ / You must give us details in Table 4 below and account for them in your benefit statement.
Table 4 – previous land treatment
Field name/ number/ reference / Describe the waste spread (in last 12 months) / Person/ company who spread the waste / Quantity spread per hectare (in tonnes) / Deployment/ other reference (if known)
e.g. / East field / Digested sewage sludge cake / Eastern Waters / 20 / PAN 000000
1
2
3
4
5
6
7
8
9
10
4l Waste storage
Are you proposing to store waste in connection with this deployment?
No / ☐ / Go to section 5
Yes / ☐ / You must give us details in Table 5 below.
Table 5 – waste storage details
Grid reference (12 digit) / Waste type being stored (6 digit List of Waste code) / Storage method / Quantity stored at any one time (in tonnes)
1
2
3
4
5
6
7
8
9
10
5Payment
5a Tick an option below to show how you will pay for the application.
Electronic transfer (for example, BACS) / ☐ / Go to section 5b
Cheque / ☐ / Go to section 5c
Postal order / ☐ / Go to section 5d
Credit or debit card / ☐ / Go to section 5e
5bPaying by electronic transfer
If you choose to pay by electronic transfer use the following information to make your payment.
Company name: / Natural Resources Wales
Company address: / Income Dept., PO BOX 663, Cardiff, CF24 0TP
Bank: / RBS
Address: / National Westminster Bank Plc, 2 ½ Devonshire Square, London, EC2M 4BA
Sort code: / 60-70-80
Account number: / 10014438
Reference number
You can use any reference number but we prefer the number to be ‘EPDEP’ followed by the first five letters of your organisation name followed by a four-digit number.
For example, for a company named Joe Bloggs Ltd, the reference number might be EPDEPJOEBL0001. (Remember you can use any four-digit number at the end.)
The reference number you will provide will appear on our bank statements so we can check your payment. We may need to contact your bank to make sure the reference number is quoted correctly.
You should also email your payment details and payment reference number to / or fax it to 0300 065 3001 and enter it in the space provided below.
BACS reference
Amount paid
Making payments from outside the UK
These details have changed. If you are making your payment from outside the United Kingdom (which must be received in sterling), our IBAN number is GB70 NWBK6070 8010 014438 and our SWIFT/BIC number is NWBKGB2L.
If you do not quote your payment reference number, there may be a delay in processing your payment and application.
5cPaying by cheque or postal order
You should make cheques or postal orders payable to Natural Resources Wales and they should be marked ‘A/c Payee’.We will not accept post-dated cheques (cheques with a future date written on them).
Cheque/ postal order number
Amount paid
5dPaying by credit or debit card
If you are paying by credit or debit card, please fill in the separate form CC1.
You can download this from our Website or you can ask for one of our customer service providers to send one by post. We will destroy your card details once we have processed your payment. We can accept payments by Visa, MasterCard or Maestro UK card only.
6Supporting documents
You must provide all relevant documents to support your application. The information we need depends on the type of deployment application you’re making. Ifyoudon’tprovideuswithalltheinformationweneed,wewon’tbeabletoassessyourproposalandtheapplicationmayberejected.
Better quality deployments result in shorter processing times. If we don’t need to come back to you for more information, we’ll be able to give you a decision quicker.
6a What supporting evidence do you need to send?
Are you applying to spread/use waste under a SR2010 No4 standard rule set permit?
Yes / ☐ / Complete the checklist in Table 6 and Table 7 / Go to section 6b
No / ☐ / Complete the checklist in Table 7 only. / Go to section 6c
6b Checklist for deployments under SR2010 No4 only
Complete the checklist in Table 6, below. Tick to confirm you’ve completed the action.
Table 6
Do the grid references (for fields and storage areas) match the map locations? / ☐ /
Are the grid references in the correct format i.e. AB 12345 67890? / ☐ /
Have details of previous land treatment been provided? / ☐ /
Have you included a location map? / ☐ /
Does the map include all the relevant features as set out in the guidance? / ☐ /
Have you included a waste analysis? / ☐ /
Is the waste analysis for each waste less than 12 months old? / ☐ /
Does the waste analysis include pH, Nitrogen (N), Phosphorus (P), Potassium (K), % dry matter and Potentially Toxic Elements (PTE’s)? / ☐ /
Have you included a soil analysis? / ☐ /
Is the soil analysis less for each field than 4 years old? / ☐ /
Does the soil analysis provide the soil pH, Potassium (K), Phosphorus (P), Magnesium (Mg) and PTEs if they are high in the waste? / ☐ /
Have the soil indices for P, K and Mg for each field been provided? / ☐ /
Have you included a Certificate of Agricultural Benefit? / ☐ /
Has the proposed cropping regime been stated? / ☐ /
Has the waste application rate been stated? / ☐ /
Has the timing of application been stated and is it appropriate for the cropping regime? / ☐ /
Has the intended method of waste application been stated? / ☐ /
Have the total nutrients supplied by the waste been stated and have they been provided in oxide format? / ☐ /
Has the nutrient requirement for the proposed crop been provided? / ☐ /
Has the soil nitrogen supply (SNS) for each field been provided? / ☐ /
If the land has been treated with other wastes, sewage sludge, slurries manures etc. in the last 12 months, has relevant information been provided? / ☐ /
If more than one waste stream is to be applied to the land; has the benefit for each individual waste stream been demonstrated? / ☐ /
Have you included a site specific risk assessment? (where relevant) / ☐ /
Does the Site Specific Risk Assessment; consider all potential receptors, identify all risks from the activity, and include information on all measures you’ll use to minimise or mitigate the impact and why they’re suitable. / ☐ /
6c Checklist for all types of deployment application.
Complete the checklist in Table 7, below. Tick to confirm you’ve completed the action.
Table 7
Item / Complete / Your document reference/ description
Location map (required for all deployments) / ☐ /
Benefit statement (required for all deployments) / ☐ /
Waste analysis (required for all deployments) / ☐ /
Receiving soil analysis (required for all deployments) / ☐ /
Site-specific risk assessment (in accordance with 4e) / ☐ /
Any other additional information / N/A
N/A
N/A
N/A
7 The data Protection Act 1998
We, the Natural Resources Body for Wales (hereafter “Natural Resources Wales”), will process the information you provide so that we can:
•deal with your application;
•make sure you keep to the conditions of the licence, permit or registration;
•process renewals; and
•keep the public registers up to date.
We may also process or release the information to:
•offer you documents or services relating to environmental matters;
•consult the public, public organisations and other organisations (for example, the Health and Safety Executive, local authorities, the emergency services, the Department for Environment, Food and Rural Affairs) on environmental issues;
•carry out research and development work on environmental issues;
•provide information from the public register to anyone who asks;
•prevent anyone from breaking environmental law, investigate cases where environmental law may have been broken, and take any action that is needed;
•assess whether customers are satisfied with our service, and to improve our service; and
•respond to requests for information under the Freedom of Information Act 2000 and the Environmental Information Regulations 2004 (if the Data Protection Act allows).
We may pass the information on to our agents or representatives to do these things for us.
8 Confidentiality and national security
We will normally put all the information in your application on a public register of environmental information. However, we may not include certain information in the public register if this is in the interests of national security, or because the information is confidential.
You can ask for information to be made confidential by ticking the box below and enclosing a letter with your application giving your reasons. If we agree with your request, we will tell you and not include the information in the public register. If we do not agree with your request, we will let you know how to appeal against our decision, or you can withdraw your application.
Please treat the information in my application as confidential. / ☐ /
You can tell the Secretary of State that you believe including information on a public register would not be in the interests of national security. You must enclose a letter with your application telling us that you have told the Welsh Ministers and you must still include the information in your application. We will not include the information in the public register unless the Welsh Ministers decides that it should be included.
Only tick the box below if you are certain that you wish to claim confidentiality or national security for your application. This may delay your application.
I attach a letter stating that I have written to the Welsh Ministers explaining why my information should not be included on the public register for national security reasons / ☐ /
9 Declaration
You must read this section before making the declaration and sending your form to us.
A relevant person should make the declaration. You must be a relevant person or have the authority of a relevant person to sign this application on their behalf.
Relevant people means each applicant, and in the case of a company, a director, manager, company secretary or any similar officer or employee listed on current appointments in Companies House. In the case of a Limited Liability Partnership (LLP), it includes any partner. If the permit holder is an organisation of individuals, each individual (or individual trustee) must complete the declaration.
To simplify and speed up the application process we recommend that the declaration is filled in by an officer of a company or one of the partners in a Limited Liability Partnership (LLP).
If you wish a manager, employee or consultant etc. to sign the declaration on behalf of a relevant person, we will need written confirmation from a relevant person; that is, an officer of the company, a partner in the LLP or the individual, confirming that the person has the authority to fill in the declaration.
If you are joint permit holders you should each fill in your own declaration. We have provided a separate sheet for this.
Where the operator is the subject of any insolvency procedure, the declaration must be filled in by the official receiver/appointed insolvency practitioner.
9a Are you signing the form on behalf of a relevant person?
If you are not a relevant person, but want to sign the application on their behalf, you must include confirmation that you can do this.
I have included written confirmation from a relevant person to confirm I can sign on their behalf. / ☐ /
9b Does your deployment application relate to a standard facility permit?
If your deployment application is being made in relation to a standard facility permit (SRP), you also need to confirm that you are able to meet all relevant criteria of the standard rule set/sets under which you are applying.
I confirm that my activity/activities will fully meet the rules of the permit deployment I have applied for. / ☐ /
9c Sign to confirm you understand the declaration.
If you knowingly or recklessly make a statement which is false or misleading to help you get an environmental permit (for yourself or another person), you are committing an offence under the Environmental Permitting (England and Wales) Regulations 2016.
I declare that the information in this application is true to the best of my knowledge and belief. I understand that this application may be refused or approval withdrawn if I give false or incomplete information.
I understand that if I knowingly or recklessly make a false or misleading statement:
- I may be prosecuted; and
- if convicted, I may have to pay a fine and/or go to prison.
Title
First name
Last name
On behalf of (if relevant)
Today’s date (DD/MM/YYYY)
Form: EPR Part LPD1Page 1 of 12NRW Version 2, January 2017